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efta-01283012DOJ Data Set 10Other

EFTA01283012

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Unknown
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DOJ Data Set 10
Reference
efta-01283012
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3
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Asset & Wealth Management DBTCA Deposit Account Opening Application Private Wealth PremiumlM Elite Personal Accounts O Checking Acct. Private Wealth Premium TM ElityBusiness Accounts g i A t.N O Elite Checking with Interest K Elite Checking with Interest Acct. N Acct. N APY PY O Elite Money Market Deposit Elite V t Money Market De sit Acct. If Acct. N APY APY O Certificate of Deposit O Certificate of Deposit Acct. N Acct. N APY APY Term Term O 08 AG NY Preferred Certificate of Deposit Acct. APY Term Promo term (DBTCA deposit account saquired. along with a DB AG Preferred Twins and Conditions) Private Wealth Premiumm Internet Banking Services O OB Private Wealth Online Plus d Link to Existing Online Relationship 1030.1SSO o DB AG NY Preferred Certificate of Deposit Acct. a APY Term Promo term (DBTCA deposit account required. along with a GB AG Preferred Terms and CandniOnel O Cash Master Sweep Account Checking Acct. N (User/Co. ID Number) Client Relationship O Individual Account O Joint Tenants with Right of Survivorship O Joint Tenants in Common O In Trust For/Payable on Death/As Trustee for O Trust El Estate Private Wealth Premium TM Banking Services O Consumer Debit Card N O Joint Applicant Debit Card N O Business Debit Card I o Del CheAbook Style N )1,kb...tics I-F*7/4.44 (e 0 Name Only a Name and Address O Duplicate Statement Addr City State Zip Cede O Mailing address (if different) Elite Money Market Deposit Acct. II APY Target Amount Trigger Amount O Custody under NY UTMA O Foundation K Non-Profit Organization K Attorney Trust Escrow O Landlord Master Escrow Name Addr City State Zip Code 0 Corporation O Limited Liability Company O Partnership O Limited Liability Partnership CONFIDENTIAL 13AWM4101 NAOS0000015602-000104611 013959.032613 SDNY_GM_00038634 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001458 EFTA_00149243 EFTA01283012 Account Title and Joint Application Information HARI< A 45.4_3 Cdejej ACC C • Name of Account Title i Joint Applicant Out na ' ' • Business Bast name. first name. middle initial) Social Security Number or Taxpayer ID Number Social Security Number or Taxpayer ID Number 91 < (iv/ Md./cwt.( v42 - VS rAt. Address Addnns e, Ad NotApollcabla_ City State Zip Code City, State and Zip Code II me Tele Number Business Telephone Number f Business Telephone Number dale Binh Mina -Birth Name of Employer Name of Employer Address Net applicable City. State and Zip Code Notice of Customer Identification Policy Address City, State and Zip Code Important Information To help the government light the funding of terrorism and money laundering activities. Federal law requires all financial institutions to obtain, verify, and record information that identifies each parson who establishes an account, investment or other business relationship with a financial institution. This means that we will ask for your name, address, and other information that will allow us to identity you. We may also ask to see identifying documents such as a certificate of formation or good standing (legal entities) or a passport or other photo identification (individuals). 3rd EU Notice Governmental rules have also broadened the scope of the Bank's obligations to aid in the fight against money laundering and terrorist financing; these rules call for an active involvement of both asset management firms and their clients. For new end existing clients we currently have a legal obligation to ask our customers questions regarding their identities, addresses, source of funds and, if necessary, legal representatives. authorized signatories, beneficial owners or control structures and to collect requisite documentation to substantiate the information. AlsO, enhanced anti-money laundering requirements require that should any of the above personal or institutional information change. our clients would be obliged to immediately notify us of the change(s) and provide us with relevant documentation to verify these changes. Telephone, Facsimile or Email Instructions By signing below. you agree that from time to time you may give instructions by telephone. facsimile or email regarding the above captioned accounts) (defined herein as "Verbal Instructions"). It is understood that the risk of Verbal Instructions being given by person or persons purported to be you is your own. Absent the gross negligence or willful misconduct of Deusche Bank Trust Company Americas (DMA), you agree to indemnify and hold harmless DBTCA for any claims, losses, expenses, costs or attorneys' fees resulting Mom DBTCA's acting upon such misunderstood and unauthorized Verbal Instructions. You understand that DBTCA may. but shall not be required to. seek verification of your verbal, facsimile or email instructions by call back. In case Of doubt, DBTCA may in its sole discretion refuse to execute your Verbal Instructions or any part thereof, without incturingsny liability. DBTCA is under no obligation to execute your Verbal Instructions to transfer funos or securities to any account(s) without written instructions benring your original signature. Joint Account Disclosure You have opened a joint account with DBTCA and acknowledge receipt of the following information: This deposit and any additions to the account shall become the property of each owner as joint tenants, and DBTCA may release the entire account to any owner during the lifetime of all owners. (MICA may honor checks, orders or withdrawal requests from any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit hinds held in the joint account to satisfy a judgment entered against, or other valid debt incurred by, any owner of the account. DBTCA may honor checks. Orders or withdrawal requests from the sun/loons) after the death of any owner(s) and may treat the account as tho sole property of the survivor(s) after the death of any owner(s). Unless DBTCA receives written notice signed by any owner cot to pay or deliver any joint deposit or addition er accrual, DBTCA shall not be liable to any owner for continuing to honor checks, orders or withdrawal requests from any owner. After the mole% of the notice referred to in the previous sentence, DBTCA may require the written authorization of any or all joint owners for any further payments or deliveries. 2 CONFIDENTIAL 13-AWM-0101 013959.032613 SDNY_GM_00038635 CONFIDENTIAL — PURSUANT TO FED_ R_ CRIM. P. 6(e) DB-SDNY-0001459 EFTA_00149244 EFTA01283013 ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditions of the Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts. Internet Banking Service If you have selected In receive Internet Banking Services, you understand that you will be required to ewer into a separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking Service. Acknowledgement of Receipt of Privacy Notice By signing below, you acknowledge receipt of DBTCA's Privacy Notice included in the Application Package. Non-US Individuals: Confirmation of Tax and Compliance Responsibilities. You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in your account(s) and your business relationship with DBTCA. Non-US Organizations: Confirmation of Tax and Compliance Responsibilities. You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your account(s) and your business relationship with GiBTCA. Furthermore, you confirm that the necessary information (to the best of your knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), settlor(s), beneficiary(ies). penner(s). etc. to enable himMer/ them to fulfill any respective tax obligations that may arise for himihed them in connection with your business relationship with DBTCA. Please complete and attach separate W-8 or W-9 documentation as applicable. Terms and Conditions and Representations By signing below, you acknowledge receipt of the Terms and Conditions for Deposit Accounts attached to this Application and agree to be bound by them. In addition, you agree to notify us immediately of any material change to the information provided by you on this Application. You represent and warrant that all of the information provided by you on this Application is accurate. The Terms and Conditions for Deposit Accounts are subject to change. Acceptance You Unde and that th application is subject to acceptance by DBTCA Acc Joint t Holders Signature kerne YarnSWar Nk t W at , 3 treaSial fatirafaeta k 03;04 dy BT CA: tit er P nar saattal, eikeer:76 ..4 C rt.,- wed', tie4Tewed kiii,--• ci:-• A...25,, -,c•:::O- -.• t S", by:Dialfeg HI 0 kt 9/70, 9A03 Date n• fta34,3411-r. 12 4" We," kr: a gtt r9 itat at ; 520cr~2sTa 7croldWe 7....;AcSNM.30.-- 170 e ier OW;SW-.41kta, 1 91 /CS. ••• cj 044erf. aat 64CCSAt‘e.-ca WtrenA.Ptia44.: hv.,S.74,W0WWZ:k.7MM.rjet? Ffrec5H,11%.* :.141.411M.1 trantiTh" ilitan Thr pre jaitt . 3 CONFIDENTIAL 13-AWM-0101 013969.032613 SDNY_GM_00038636 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001460 EFTA_00 I 49245 EFTA01283014

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